Perspective directions of research on the prevention of morbidity and traumatism of the members of vessel`s crew of the river transport fleet during the development of the Northern Sea Route

The new stage of development of the Northern Sea Route, the only highway connecting the subarctic and arctic regions of the Russian Federation, involves the development of a transport system, the complex of which includes all the rivers fl owing into the Arctic Ocean. Despite the large number and vastness of the river basins in the Russian Federation, their importance for the effective operation of the country’s economy, the problem of preventing traumatism of the members of vessel`s crew of the river transport fl eet was refl ected in research by a small number of practitioners, individual scientists and medical research teams.

Improving the performance of the health care system; ensuring the availability and quality of medical care to the members of vessel`s crew of the river transport fl eet, the formation of sustainable industrial motivation and conscious attitude to their health for this contingent of industrial workers, striving for a high health culture and a healthy lifestyle as the basis of a long-term and full-fl edged life; The creation of a positive attitude towards the health care system at the river men is the stated goal of the organizational and methodological work of the medical service of the river fl eet.
To do this, it is necessary to specify the state guarantees for providing free medical care to the members of vessel`s crew of the river transport fl eet, to create an effective model for managing the fi nancial resources of these guarantees, and to improve the provision of outpatient medication to water workers as part of the compulsory health insurance system. This is not possible without improving the qualifi cations of medical workers and creating a system for motivating them to quality work, developing medical science and innovation, and informatization of water transport healthcare. To do this, it is necessary to increase the effi ciency of the health care system; to ensure the availability and quality of medical care to the members of vessel`s crew of the river transport fl eet, to form a sustainable motivation and conscious attitude to their health, striving for a high health culture and healthy lifestyle as the basis of a long-term and full life for this contingent of industrial workers; Creation of a positive attitude to the river people to the health care system.

Perspective
The current system of organization of medical care should specify the state guarantees for providing free medical care to the members of vessel`s crew of the river transport fl eet, create an effective model for managing the fi nancial resources of these guarantees, and improve the medical provision of outpatient medical personnel under the compulsory medical insurance system. This is not possible without improving the qualifi cations of medical workers and creating a system for motivating them to quality work, developing medical science and innovation, and informatization of water transport healthcare [22][23][24][25][26][27].
In modern conditions, the creation and operation of information systems and analytical tools for data processing are the "gold standard" of the organization of industry management. The introduction of new medical technologies is impossible without the parallel introduction of information systems that ensure the optimization of the service delivery process. The introduction and use of modern information and telecommunication technologies in health care is a key enabling task, on the solution of which depends the effectiveness of most of the activities of the State Program "Health Development" [28][29][30].
The "Health of healthy people" of occupational groups of industrial workers should be the basis of public health.
Reorientation from the pathology of health to the health of healthy people will lead to: the need to defi ne and standardize the relevant standards of health standards, systems and organs, depending on the sex and age of the person; replacing the case history with the health history, refl ecting the history of quantitative deviations from the standards that correspond to the age and sex standards; reorientation of health services and public services to improve the health of various categories of the population in the territory under their jurisdiction [31][32].
The practical implementation of the transition to a healthy lifestyle is impossible without the approach of preventive medicine to a person. In this regard, the priority is to provide the population, especially healthy people and people with chronic diseases without exacerbation, preventive care within walking distance. It is necessary to develop and introduce outpatient stimulation mechanisms for the earliest possible detection of diseases and to prevent the development of diseases to the stage leading to hospitalization [33][34]. The implementation of these measures is aimed at improving the indicators of temporary disability of the working population. alcohol, drug and other toxic substances abuse, should be training in hygiene, work and rest. In order to increase the motivation of the members of vessel`s crew to maintain a healthy lifestyle, it is necessary to create appropriate production, organizational, social and medical conditions. The task consists not only in the timely identifi cation of risk factors for non-communicable diseases and injuries, but also in their timely correction.